- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05867888
Shock Wave Therapy Versus Low Level Laser Therapy in Patients With Plantar Fasciitis
Effect of Shock Wave Therapy Versus Low Level Laser Therapy in Patients With Plantar Fasciitis
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Plantar fasciitis is a result of degenerative irritation of the plantar fascia origin at the medial calcaneal tuberosity of the heel as well as the surrounding perifascial structures, it is a common problem accounting for approximately one million patient visits per year, it is often an overuse injury. As a result tight gastrocnemius, soleus, and/or other posterior leg muscles have also been commonly found in patients with this condition.
Shock wave therapy is thought to provide long lasting analgesia and stimulate the healing process, Low level laser therapy has been used to relieve pain caused by plantar fasciitis, also stretching of the shortened and contracted plantar flexors may positively influence an individual's functional activities of daily living and decrease the risk of injury.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Reham M Lotfy, Msc
- Phone Number: 01063251724
- Email: mnabilbebo@gmail.com
Study Locations
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-
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Giza, Egypt
- Reham
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ranges from 40-60 years old.
- Both genders will be included.
- Unilateral plantar fasciitis.
- Duration of symptoms more than 4 weeks.
- Positive Windlass test and negative Tinel and calcaneus squeeze tests.
- Patients will be classified according to their BMI (18.5 - 24.9) kg/m2
Exclusion Criteria:
- Open wound, infection in plantar surface of foot.
- History of foot surgery.
- History of trauma or fracture in foot or ankle.
- Neuropathic pain as diabetes mellitus.
- Peripheral vascular disease.
- Calcaneal stress fracture or show evidence of a foreign body or tumor of the affected heel.
- Previously suffered a rupture or surgery of the plantar fascia. Existing or prior osteomyelitis of the involved calcaneus.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Control group
conventional physical therapy program (Instructions, Ice application, Deep tissue massage, Stretching exercises, Joint mobilization and isometric exercises).
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conventional therapy ( instructions, ice application, deep tissue massage, stretching exercises, joint mobilization and isometric exercises )
|
Experimental: Experimental group 1
Shock wave therapy + Conventional physical therapy.
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conventional therapy ( instructions, ice application, deep tissue massage, stretching exercises, joint mobilization and isometric exercises )
Acoustic waves (shock waves) that can carry energy and can propagate through tissues promote healing effects.
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Experimental: Experimental group 2
Low level laser therapy + Conventional physical therapy.
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conventional therapy ( instructions, ice application, deep tissue massage, stretching exercises, joint mobilization and isometric exercises )
The application of light to a biologic system to promote tissue regeneration, reduce inflammation and relieve pain.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assess the change in pain intensity level
Time Frame: Before treatment and after 6 weeks treatment
|
The visual analogue scale (VAS) is a widely utilized pain intensity level assessment instrument in patients with plantar fasciitis.
The visual analogue scale (VAS) is typically composed of a horizontal line from zero (minimum value) to 10 (maximum value) where zero signifies (no pain) and 10 signifies (worst pain) one can imagine.
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Before treatment and after 6 weeks treatment
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Assess the change in pain pressure threshold
Time Frame: Before treatment and after 6 weeks treatment
|
Pressure algometry will be used to evaluate the pain pressure threshold for the two predetermined locations on the affected leg: gastrocnemius (middle point over the muscle belly) and soleus (center point of the muscle belly 10 cm above the Achilles tendon).
The participant will speak up at the point where the pressure evoke a painful sensation.
This process will be repeated 3 times in the same manner, and three measurements will be recorded at the same point on the plantar fascia.
An average of the three readings will be recorded.
Higher algometer scores indicate greater pressure threshold, therefore less tenderness.
Lower algometer scores indicate less pressure threshold, thus more tenderness.
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Before treatment and after 6 weeks treatment
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Assess the change in range of ankle motion
Time Frame: Before treatment and after 6 weeks treatment
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Ankle range of motion (ROM) will be measured by using digital goniometer (ankle dorsiflexion and plantarflexion ranges will be measured).
It can monitor the progress of intervention.
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Before treatment and after 6 weeks treatment
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Assess the change in foot functional disability
Time Frame: Before treatment and after 6 weeks treatment
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Foot functional disability will be assessed by foot and ankle ability measure questionnaire (FAAM).
Higher scores on the questionnaire indicate a higher level of physical functioning and lower scores on the questionnaire indicate a lower level of physical functioning.
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Before treatment and after 6 weeks treatment
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Assess the change in ankle stability
Time Frame: Before treatment and after 6 weeks treatment
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The Human Assessment Computer (HUMAC) Balance System will be used in the current study to assess limits of stability of ankle joint.
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Before treatment and after 6 weeks treatment
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Fatma S Amin, Professor, Cairo University
- Study Director: Rania N Karkousha, Ass.prof, Cairo University
- Study Director: Mohamed I Abd Elhay, Lecturer, Cairo University
- Study Director: Ashraf N Moharram, Professor, Cairo University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- P.T.REC/012/004154
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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